| NPI | 1457379687 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: SC 95993) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: TX J1860) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2026-08-27 |